MedicaidCoverageMedium impact
KMAP BULLETIN: Code A9276 May be Dispensed 30 Units per 30 Days
Kansas Medicaid (KanCare)·KS · Endocrinology, Pediatrics, Family Medicine·Coding
Effective date
Jan 1, 2024
We identified it
Jun 21, 2026
Summary
KMAP has updated policy to allow DME providers to dispense 30 units of Continuous Glucose Monitor sensors (code A9276) per 30 days for Medicaid members ages 0-20, retroactive to January 1, 2024. Coverage criteria, prior authorization requirements, and reimbursement rates remain unchanged.
Action Required
Immediately: Billing team must update DME billing system to allow dispensing up to 30 units of A9276 (CGM sensors) per 30-day period for Kansas Medicaid members ages 0-20. Verify patient age eligibility before billing. Monitor KanCare MCO implementation status on KMAP website as processing may vary by MCO.